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Christmas For Kids 2021
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* Indicates required question
Family Last Name
*
Your answer
Street Address, City, State, Zip
*
Your answer
Phone Number (xxx) xxx-xxxx
*
Your answer
Email Address
*
Your answer
Emergency Contact Name
*
Your answer
Emergency Contact Number During Event Dates (xxx)xxx-xxxx
*
Your answer
Children attending: Name, Present Grade
Your answer
Permission to Photograph
*
Allow
Don't Allow
Allergies for any children:
*
Yes (Describe Below)
No
Describe allergies for each child :
Your answer
How did you hear about Christmas For Kids at Gethsemane?
*
Signs
Mailer
Flyer
Friend/Word of Mouth
Other:
Do you currently have a church home
*
Yes
No
I would like to learn more about Gethsemane Lutheran Church
*
Yes
No
I would like to learn more about Gethsemane Lutheran School
*
Yes
No
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